不同证型冠心病实证患者动态动脉硬化指数分布规律临床研究  

Clinical Research on Distribution Regularities of Dynamic Arterial Stiffness Index of Patients with Different Excess Syndromes of Coronary Heart Disease

作　　者：叶焕文[1] 徐少群[1] 陈全福[1] 

机构地区：[1]广东省中医院,广东广州510120

出　　处：《新中医》2016年第8期21-24,共4页New Chinese Medicine

摘　　要：目的：探讨不同证型冠心病实证患者动态动脉硬化指数（AASI）分布规律。方法：回顾2008-2014年在广东省中医院诊断为冠心病,中医辨证为实证并行动态血压监测患者的相关资料,计算出患者AASI及对称动脉硬化指数（SAASI）,结合患者中医证型,分析各证型的上述指数的分布规律。结果：不同年龄冠心病发生率差异有统计学意义（P〈0.05）,以中老年组患者最易患冠心病。冠心病实证以痰阻心脉证为主（占40.1%）,气滞血瘀证发生率最低（占16.7%）,其排列顺序为痰阻心脉证〉阴寒凝滞证〉心血瘀阻证〉气滞血瘀证。不同证型冠心病实证AASI、SAASI组间比较均有统计学差异（P〈0.05）,其中以痰阻心脉组的AASI、SAASI水平最高。结论：在不同证型冠心病实证患者中,AASI及SAASI具有一定的分布规律,此两项指标的检测可为冠心病实证辨证分型提供参考。Objective：To discuss distribution regularities of dynamic arterial stiffness index（AASI） of patients with different excess syndrome of coronary heart disease.Methods：Reviewed the data of patients that were diagnosed to be coronary heart disease and Chinese medicine（CM） differentiation as to be excess syndrome,and underwent dynamic blood pressure monitoring.Calculated AASI and symmetry arteriosclerosis indexes（SAASI） of patients,analyzed distribution regularities of above indexes of each syndrome of patients.Results：The differences of incidence rate of coronary heart disease among different ages were significant（P〈0.05）,among which middle age and old patients were most easily attacked by coronary heart disease.The mainly syndrome of coronary heart disease with excess syndrome was phlegm obstructing the heart vessels（accounted for 40.1%）,while incidence rate of qi stagnation and blood stasis being the lowest（accounted for 16.7%）.The sequence was syndrome of phlegm blocking heart vessel stagnation of yin cold syndrome of cariac blood stasis syndrome of qi stagnation and blood stasis.Compared AASI and SAASI indexes of different excess syndrome of coronary heart disease,there was statistical difference（P〈0.05）,among which levels of AASI and SAASI in phlegm obstructing the heart vessels group being highest.Conclusion：AASI and SASSI have certain distribution regularities among patients with different excess syndrome of coronary heart disease.The detection of above two indexes can provide references for analyzing coronary heart disease excess syndrome differentiation.

关 键 词：冠心病 实证 中医证型 动态动脉硬化指数 

分 类 号：R541.4[医药卫生—心血管疾病]